Revenue Integrity Analyst

University of Vermont Health Network

22h • $27 - $41 • Remote

About The Position

The Revenue Integrity Analyst is responsible for collaborating with individual departments to ensure charges are captured, entered, documented and reconciled timely and accurately. The Revenue Integrity Analyst will work with departments to develop processes to eliminate billing edits related to the revenue integrity functions. He/she is also responsible for staying current on government regulatory changes and Federal and State proposals to change charging and reimbursement methodologies and payment systems. In conjunction with the Senior Revenue Integrity Analyst, the Revenue Integrity Analyst is responsible for developing, implementing and providing ongoing monitoring and education related to revenue integrity throughout the Revenue Cycle process. Develops processes which are designed to optimize and support revenue integrity, reduce risk and eliminate waste.

Requirements

• Bachelor’s degree preferred. An equivalent combination of education and experience from which comparable knowledge and abilities were acquired will be considered.
• Minimum of two years’ experience in revenue cycle operations, specifically patient billing, HIM coding, charge description master (CDM) responsibility or healthcare environment.
• Minimum of two years’ prior history in health care data manipulation and analysis preferred.
• Working knowledge of healthcare charging and reimbursement with direct practical knowledge of Medicare, Medicaid and commercial insurance guidelines highly desired.

Nice To Haves

• CPT, ICD and/or HCPCS coding certification preferred, or ability to achieve within 12 months of hire.

Responsibilities

• collaborating with individual departments to ensure charges are captured, entered, documented and reconciled timely and accurately
• work with departments to develop processes to eliminate billing edits related to the revenue integrity functions
• staying current on government regulatory changes and Federal and State proposals to change charging and reimbursement methodologies and payment systems
• developing, implementing and providing ongoing monitoring and education related to revenue integrity throughout the Revenue Cycle process
• Develops processes which are designed to optimize and support revenue integrity, reduce risk and eliminate waste

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level